NPI | 1982052015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: AL 16264) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16264) |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AL 16264) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2018-08-17 |